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Laparoscopic Sleeve Gastrectomy Improves Olfaction Sensitivity in Morbidly Obese Patients

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Abstract

Background

Olfactory abilities of the patients are known to be altered by eating and metabolic disorders, including obesity. There are only a number of studies investigating the effect of obesity on olfaction, and there is limited data on the changes in olfactory abilities of morbidly obese patients after surgical treatment. Here we investigated the changes in olfactory abilities of 54 morbidly obese patients (M/F, 22/32; age range 19–57 years; body mass index (BMI) range 30.5–63.0 kg/m2) after laparoscopic sleeve gastrectomy.

Method

A laparoscopic sleeve gastrectomy was performed by the same surgeon using five-port technique. Olfactory abilities were tested preoperatively and 1, 3, and 6 months after the surgery using a standardized Sniffin’ Sticks Extended Test kit.

Results

Analyses of variance indicated statistically significant improvement in T, D, and I scores of morbidly obese patients within time factors (preoperative vs. 1, 3, and 6 months; 1 vs. 3 and 6 months; and 3 vs. 6 months; p < 0.001 for all). There was a statistically significant improvement in overall TDI scores with an increase from 25 to 41 during the 6 months follow-up period (p < 0.001 for all).

Conclusions

Here, for the first time in literature, we were able to show the significant improvement in olfactory abilities of morbidly obese patients after laparoscopic sleeve gastrectomy.

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References

  1. Chang YY, Chiou WB. Taking weight-loss supplements may elicit liberation from dietary control. A laboratory experiment. Appetite. 2014;72:8–12. doi:10.1016/j.appet.2013.09.021.

    Article  PubMed  Google Scholar 

  2. Rolls ET. Taste, olfactory and food texture reward processing in the brain and the control of appetite. Proc Nutr Soc. 2012;71(4):488–501. doi:10.1017/S0029665112000821.

    Article  PubMed  Google Scholar 

  3. Umabiki M, Tsuzaki K, Kotani K, et al. The improvement of sweet taste sensitivity with decrease in serum leptin levels during weight loss in obese females. Tohoku J Exp Med. 2010;220(4):267–71.

    Article  CAS  PubMed  Google Scholar 

  4. Berthoud HR, Zheng H. Modulation of taste responsiveness and food preference by obesity and weight loss. Physiol Behav. 2012;107(4):527–32. doi:10.1016/j.physbeh.2012.04.004.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  5. Armstrong J, O’Malley SP. Outcomes of sleeve gastrectomy for morbid obesity: a safe and effective procedure? Int J Surg. 2010;8(1):69–71. doi:10.1016/j.ijsu.2009.11.004.

    Article  PubMed  Google Scholar 

  6. Bray GA, Benfield JR. Intestinal bypass for obesity a summary and perspective. Am J Clin Nutr. 1977;30(1):121–7.

    CAS  PubMed  Google Scholar 

  7. Miras AD, Jackson RN, Jackson SN, et al. Gastric bypass surgery for obesity decreases the reward value of a sweet-fat stimulus as assessed in a progressive ratio task. Am J Clin Nutr. 2012;96(3):467–73. doi:10.3945/ajcn.112.036921.

    Article  CAS  PubMed  Google Scholar 

  8. Raziel A, Sakran N, Szold A, et al. Mid-term follow-up after laparoscopic sleeve gastrectomy in obese adolescents. Isr Med Assoc J. 2014;16(1):37–41.

    PubMed  Google Scholar 

  9. Zhang Y, Ju W, Sun X, et al. Laparoscopic sleeve gastrectomy versus laparoscopic Roux-en-Y gastric bypass for morbid obesity and related comorbidities: a meta-analysis of 21 studies. Obes Surg. 2014;25:19–26.

    Article  Google Scholar 

  10. Gigante G, Martines G, Franco I, et al. Short- and medium-term outcomes of laparoscopic sleeve gastrectomy: a single center experience. G Chir. 2014;35(7–8):200–1.

    PubMed Central  CAS  PubMed  Google Scholar 

  11. Seyfried F, Miras AD, Bueter M, et al. Effects of preoperative exposure to a high-fat versus a low-fat diet on ingestive behavior after gastric bypass surgery in rats. Surg Endosc. 2013;27(11):4192–201. doi:10.1007/s00464-013-3020-6.

    Article  PubMed Central  PubMed  Google Scholar 

  12. Tucker ON, Szomstein S, Rosenthal RJ. Indications for sleeve gastrectomy as a primary procedure for weight loss in the morbidly obese. J Gastrointest Surg. 2008;12(4):662–7. doi:10.1007/s11605-008-0480-4.

    Article  CAS  PubMed  Google Scholar 

  13. Enck P, Rieber N, Sauer H, et al. Almost nothing—not even bariatric surgery for obesity—changes olfactory sensitivity. J Res Obes. 2014. Article ID 491890, doi:10.5171/2014.491890

  14. Obrebowski A, Obrebowska-Karsznia Z, Gawliński M. Smell and taste in children with simple obesity. Int J Pediatr Otorhinolaryngol. 2000;55(3):191–6.

    Article  CAS  PubMed  Google Scholar 

  15. Palouzier-Paulignan B, Lacroix MC, Aimé P, et al. Olfaction under metabolic influences. Chem Senses. 2012;37(9):769–97. doi:10.1093/chemse/bjs059.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  16. Simmen D, Briner HR. Olfaction in rhinology—methods of assessing the sense of smell. Rhinology. 2006;44(2):98–101.

    PubMed  Google Scholar 

  17. Stafford LD, Welbeck K. High hunger state increases olfactory sensitivity to neutral but not food odors. Chem Senses. 2011;36(2):189–98. doi:10.1093/chemse/bjq114.

    Article  PubMed  Google Scholar 

  18. Richardson BE, Vanderwoude EA, Sudan R, et al. Gastric bypass does not influence olfactory function in obese patients. Obes Surg. 2012;22(2):283–6. doi:10.1007/s11695-011-0487-x.

    Article  PubMed  Google Scholar 

  19. Baltasar A, Serra C, Pérez N, et al. Laparoscopic sleeve gastrectomy: a multi-purpose bariatric operation. Obes Surg. 2005;15(8):1124–8.

    Article  PubMed  Google Scholar 

  20. Braghetto I, Csendes A, Lanzarini E, et al. Is laparoscopic sleeve gastrectomy an acceptable primary bariatric procedure in obese patients? Early and 5-year postoperative results. Surg Laparosc Endosc Percutan Tech. 2012;22(6):479–86. doi:10.1097/SLE.0b013e318262dc29.

    Article  PubMed  Google Scholar 

  21. Haehner A, Mayer AM, Landis BN, et al. High test-retest reliability of the extended version of the “Sniffin’ Sticks” test. Chem Senses. 2009;34(8):705–11. doi:10.1093/chemse/bjp057.

    Article  PubMed  Google Scholar 

  22. Hummel T, Sekinger B, Wolf SR, et al. ‘Sniffin’ sticks’: olfactory performance assessed by the combined testing of odor identification, odor discrimination and olfactory threshold. Chem Senses. 1997;22(1):39–52.

    Article  CAS  PubMed  Google Scholar 

  23. Fischer L, Hildebrandt C, Bruckner T, et al. Excessive weight loss after sleeve gastrectomy: a systematic review. Obes Surg. 2012;22(5):721–31. doi:10.1007/s11695-012-0616-1.

    Article  PubMed  Google Scholar 

  24. Primeaux SD, Braymer HD, Bray GA. High fat diet differentially regulates the expression of olfactory receptors in the duodenum of obesity-prone and obesity-resistant rats. Dig Dis Sci. 2013;58(1):72–6. doi:10.1007/s10620-012-2421-z.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  25. Naka A, Riedl M, Luger A, et al. Clinical significance of smell and taste disorders in patients with diabetes mellitus. Eur Arch Otorhinolaryngol. 2010;267(4):547–50. doi:10.1007/s00405-009-1123-4.

    Article  PubMed  Google Scholar 

  26. Richardson BE, Vander Woude EA, Sudan R, et al. Altered olfactory acuity in the morbidly obese. Obes Surg. 2004;14(7):967–9.

    Article  PubMed  Google Scholar 

  27. Gouveri E, Katotomichelakis M, Gouveris H, et al. Olfactory dysfunction in type 2 diabetes mellitus: an additional manifestation of microvascular disease? Angiology. 2014;65:869–76.

    Article  CAS  PubMed  Google Scholar 

  28. Thiebaud N, Johnson MC, Butler JL, et al. Hyperlipidemic diet causes loss of olfactory sensory neurons, reduces olfactory discrimination, and disrupts odor-reversal learning. J Neurosci. 2014;34(20):6970–84. doi:10.1523/JNEUROSCI.3366-13.2014.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  29. Ketterer C, Heni M, Thamer C, et al. Acute, short-term hyperinsulinemia increases olfactory threshold in healthy subjects. Int J Obes (Lond). 2011;35(8):1135–8.

    Article  CAS  Google Scholar 

  30. Graham L, Murty G, Bowrey DJ. Taste, smell and appetite change after Roux-en-Y gastric bypass surgery. Obes Surg. 2014;24(9):1463–8. doi:10.1007/s11695-014-1221-2.

    Article  CAS  PubMed  Google Scholar 

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Conflict of Interest

The authors declare that they have no competing interests.

Compliance with Ethical Standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

Funding

This study was not funded.

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Correspondence to Hasan Altun.

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Hancı, D., Altun, H., Altun, H. et al. Laparoscopic Sleeve Gastrectomy Improves Olfaction Sensitivity in Morbidly Obese Patients. OBES SURG 26, 558–562 (2016). https://doi.org/10.1007/s11695-015-1784-6

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